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166 chapters · 2,034 sections in this title.
R.I. Gen. Laws § 27-20.11-1. Mandatory coverage for autism spectrum disorders
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(a) Every group health insurance contract, or every group hospital or medical expense insurance policy, plan, or group policy delivered, issued for delivery, or renewed in this state, by any health insurance carrier, on or after January 1, 2012, shall provide coverage for autism …
R.I. Gen. Laws § 27-20.11-2. Definitions
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As used in this chapter: (1) “Applied behavior analysis” means the design, implementation, and evaluation of environmental modifications using behavioral stimuli and consequences to produce socially significant improvements in human behavior, including the use of direct observati…
R.I. Gen. Laws § 27-20.11-3. Scope of coverage
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(a) Benefits under this section shall include coverage for pharmaceuticals, applied behavior analysis, physical therapy, speech therapy, psychology, psychiatric and occupational therapy services for the treatment of autism spectrum disorders, as defined in the most recent edition…
R.I. Gen. Laws § 27-20.11-4. Medical necessity and appropriateness of treatment
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(a) Upon request of the reimbursing health insurance carrier, all providers shall furnish medical records or other necessary data which substantiates that initial or continued treatment is at all times medically necessary and appropriate. (b) Medical necessity criteria may be bas…
